Frequently Asked Questions
What is telehealth?
Telehealth is a convenient and accessible way for clients to live audio or video chat with their healthcare providers including therapists.
What equipment do I need for telehealth?
Just a computer, tablet or smartphone and internet connection that is at least 10mbps.
What are the benefits of telehealth?
There are lots! Telehealth increases access to care and makes it more convenient due to not having to commute to your appointment or wait in the office. You can receive care in the comfort of your own home and all that is required is internet and a computer or smartphone. Reduced cost for clients is a big one due to lower copays, transportation costs, less time missed from work and less money spent on child care.
Is telehealth HIPAA compliant?
I use the program Simple Practice, which is 100% HIPAA compliant. Other programs like FaceTime and Skype do not meet the standards for HIPAA compliance.
What can I expect in the 15-minute phone consultation?
This call is a chance to see if we are a good fit, explore your reasons for arriving at therapy right now, and what you hope to gain from therapy. It is also a great time for you to ask questions! Some things you might consider are which presenting issues I work with, what my approach is and anything else you might be wondering that would inform your decision to continue working with me.
What happens after the 15-minute phone consultation?
I will check in with you at the end of the call to see if you’d like to schedule a session in the next 1-2 weeks. If so, we’ll book it then and there! If not, I would be happy to provide you with referrals and resources to aid you in the search for the support you need and that feels right for you.
Do you accept health insurance?
I do not accept insurance. However, I can provide a superbill, or proof of services at no cost for you to receive reimbursement from your insurance company if that is included in your plan. It is encouraged to double-check with your insurance company to ensure your benefits. Check out the Rates and Insurance page for specific questions to ask your insurance company about this option.
Do we have to talk the whole session?
Absolutely not! Sometimes it is great to try other methods of communicating. I find my clients’ talents inspiring and invite them to share their strengths in therapy. Are you a musician? Feel free to bring your instrument into the session! Are you a poet? The spoken (or written) word is always welcome per your comfortability. Are you taking up baking? Oh, how I wish I could try your delectable treats, but telehealth does offer a challenge with that one. You’re still welcome to show me your beautiful baked goods and describe the smells and tastes in great detail!
What is the Gottman Method and how does it help couples?
The Gottman Method is an evidence-based form of couples therapy developed by Drs. John and Julie Gottman after over 40 years of research. As a Gottman Level 3 Trained therapist, I use this approach to help couples strengthen their relationships by building friendship, managing conflict constructively, and creating shared meaning. The method focuses on identifying communication patterns that lead to relationship breakdown (called the "Four Horsemen") and replacing them with healthier alternatives that foster connection and understanding.
How do I know if we need couples therapy?
Consider couples therapy if you're experiencing persistent conflicts that don't get resolved, communication breakdowns, emotional distance, trust issues after infidelity, or when major life changes are creating relationship strain. Many couples also benefit from therapy as a preventative measure before small issues become larger problems. The fact that you're considering therapy shows awareness and commitment to your relationship's health - which is already a positive step.
What are marathon therapy sessions and who are they for?
Marathon therapy sessions are extended sessions (typically 3-6 hours) designed to make significant progress in a condensed timeframe. They're ideal for couples who can't commit to weekly sessions due to busy schedules, those traveling from outside Seattle, couples in crisis needing immediate intervention, or those wanting to jumpstart their therapy journey. These intensive sessions allow us to dive deeply into issues without the start-stop nature of traditional weekly sessions, often leading to breakthroughs that might take months in conventional therapy.
How long does couples therapy typically take to see results?
While every relationship is unique, many couples report noticeable improvements in communication patterns and conflict management within 8-12 sessions. Research on the Gottman Method shows that 69% of relationship problems are perpetual (they never fully disappear), but couples can learn to manage these differences constructively. The goal isn't to eliminate all conflict but to develop tools for navigating disagreements healthily. Factors affecting timeline include commitment to practicing skills between sessions, severity of issues, and whether there's been a significant breach of trust.
Can couples therapy help if only one partner is willing to change?
While therapy is most effective when both partners are invested, significant positive changes can occur even when one person leads the change process. When one partner modifies their responses and communication patterns, it often creates a ripple effect in the relationship dynamic. That said, lasting transformation typically requires both individuals to participate in the growth process. I work with couples to meet them where they are, recognizing that motivation levels may differ between partners initially.
What's the difference between couples therapy and marriage counseling?
In practice, these terms are often used interchangeably, but there are subtle differences. Couples therapy typically addresses the relationship system and patterns between two people, whether married or not. It often involves deeper exploration of each partner's history and how it impacts current dynamics. Marriage counseling sometimes has a more specific focus on marital issues like parenting conflicts or division of responsibilities. As a Licensed Marriage and Family Therapist (LMFT), I'm trained to provide both approaches, tailoring treatment to your specific needs and relationship structure.
Can we save our relationship after infidelity?
Yes, many couples do successfully rebuild after infidelity with professional support. The healing process typically involves three phases: crisis management and assessment, working through the impact of the betrayal, and rebuilding trust and intimacy. This work requires commitment from both partners—the person who had the affair must demonstrate transparency and accountability, while the betrayed partner needs to be willing to work toward forgiveness (which happens gradually). Research shows approximately 70% of couples who complete therapy after infidelity report relationship improvement. The process is challenging but can lead to a stronger, more honest connection.
What happens in a typical couples therapy session?
A typical session begins with checking in on progress since our last meeting and any practice exercises you've completed. We then focus on current relationship dynamics, using structured interventions to identify patterns and implement healthier alternatives. I actively balance time between both partners while maintaining neutrality. Sessions may include communication exercises, conflict management training, or deeper exploration of underlying attachment needs. We end by summarizing insights and often assigning practical exercises to reinforce skills between sessions. Throughout, we'll track progress toward your specific relationship goals.
